ORTHOTIC WRITTEN SIMULATION ACTUAL 2026
QUESTIONS AND 100% CORRECT ANSWERS
1. What is impacted with a C1-C3 spinal cord injury?: -limited movement of head and neck
-paralysis in arms, hands, neck, trunk, and legs
-breathing, coughing, control of bladder/bowel may be impacted
-speech may be impacted
1. What is the orthotic treatment for C1-C3 spinal cord injury?: -powered specialized
wheelchair
-ADL total assist
3. What is impacted with a C4 spinal cord injury?: -usually has head and neck control
-may shrug their shoulders
-hand, trunk and leg paralysis
4. What is the impact of a C5 spinal cord injury?: -typically has head and neck control. can
shrug shoulders and has shoulder control
-elbow flexion is possible and can turn palms face down
-hand, trunk and leg paralysis
5. What is the impact of a C6 spinal cord injury?: -has movement of head, neck, shoulders,
arms and wrist. can shrug shoulders, bend elbows, turn palms up and down, and extend wrists
-hand, trunk and leg paralysis
,6. What is the orthotic recommendation for a C6 spinal cord injury?: utilize natural
tenodesis
1. What is the impact of a C7 spinal cord injury?: -has movement of head, neck, shoulders,
arms and wrist. can shrug shoulders, bend elbows and straighten them, turn palms up and down, and extend wrists
-hand, trunk, and leg paralysis
§. What is the orthotic recommendation for C7 spinal cord injury?: Static HO with MP
extension stop allowing individual to utilize their own tenodesis
9. What is the impact of a T1 spinal cord injury?: -has added strength and precision of fingers
that result in limited or natural hand function
-trunk and leg paralysis
10. What is the impact of a L1/L2 spinal cord injury?: -upper extremity functions
-leg paralysis
(paraplegia)
1. What is the impact of a L3 spinal cord injury?: -limited hip flexion
, 1. What is the impact of a L4 spinal cord injury?: -limited quadriceps (knee extension)
-has hip flexion and adduction
13. What is the impact of a L5 spinal cord injury?: -limited dorsiflexion, toe extension, hip
abduction and knee flexion
-has hip flexion, hip adduction, knee extension
14 What is the impact of a S1 spinal cord injury?: -limited knee flexion, hip extension,
plantarflexion and toe flexion
-has hip flexion, adduction, abduction, knee extension, DF, toe extension
15. What is the impact of a S2 spinal cord injury?: - may have weak hip extension, knee flexion,
toe flexion and plantarflexion
-has hip flexion, adduction, abduction, knee extension, DF, toe extension
16. What is a myotome?: Group of muscles innervated by a single spinal nerve
17. Myotome C5: elbow flexion
18. Myotome C6: wrist extension
19. Myotome C7: elbow extension
2. Myotome C8: finger flexion
1. Myotome T1: finger abduction
1l. Myotome L2: hip flexion
1. Myotome L3: knee extension
1. Myotome L4: ankle dorsiflexion
1. Myotome L5: great toe extension
1. Myotome S1: ankle plantar flexion
11. Hip Sagittal Plane ROM: 30 (extension) - 0 - 120 (flexion)
QUESTIONS AND 100% CORRECT ANSWERS
1. What is impacted with a C1-C3 spinal cord injury?: -limited movement of head and neck
-paralysis in arms, hands, neck, trunk, and legs
-breathing, coughing, control of bladder/bowel may be impacted
-speech may be impacted
1. What is the orthotic treatment for C1-C3 spinal cord injury?: -powered specialized
wheelchair
-ADL total assist
3. What is impacted with a C4 spinal cord injury?: -usually has head and neck control
-may shrug their shoulders
-hand, trunk and leg paralysis
4. What is the impact of a C5 spinal cord injury?: -typically has head and neck control. can
shrug shoulders and has shoulder control
-elbow flexion is possible and can turn palms face down
-hand, trunk and leg paralysis
5. What is the impact of a C6 spinal cord injury?: -has movement of head, neck, shoulders,
arms and wrist. can shrug shoulders, bend elbows, turn palms up and down, and extend wrists
-hand, trunk and leg paralysis
,6. What is the orthotic recommendation for a C6 spinal cord injury?: utilize natural
tenodesis
1. What is the impact of a C7 spinal cord injury?: -has movement of head, neck, shoulders,
arms and wrist. can shrug shoulders, bend elbows and straighten them, turn palms up and down, and extend wrists
-hand, trunk, and leg paralysis
§. What is the orthotic recommendation for C7 spinal cord injury?: Static HO with MP
extension stop allowing individual to utilize their own tenodesis
9. What is the impact of a T1 spinal cord injury?: -has added strength and precision of fingers
that result in limited or natural hand function
-trunk and leg paralysis
10. What is the impact of a L1/L2 spinal cord injury?: -upper extremity functions
-leg paralysis
(paraplegia)
1. What is the impact of a L3 spinal cord injury?: -limited hip flexion
, 1. What is the impact of a L4 spinal cord injury?: -limited quadriceps (knee extension)
-has hip flexion and adduction
13. What is the impact of a L5 spinal cord injury?: -limited dorsiflexion, toe extension, hip
abduction and knee flexion
-has hip flexion, hip adduction, knee extension
14 What is the impact of a S1 spinal cord injury?: -limited knee flexion, hip extension,
plantarflexion and toe flexion
-has hip flexion, adduction, abduction, knee extension, DF, toe extension
15. What is the impact of a S2 spinal cord injury?: - may have weak hip extension, knee flexion,
toe flexion and plantarflexion
-has hip flexion, adduction, abduction, knee extension, DF, toe extension
16. What is a myotome?: Group of muscles innervated by a single spinal nerve
17. Myotome C5: elbow flexion
18. Myotome C6: wrist extension
19. Myotome C7: elbow extension
2. Myotome C8: finger flexion
1. Myotome T1: finger abduction
1l. Myotome L2: hip flexion
1. Myotome L3: knee extension
1. Myotome L4: ankle dorsiflexion
1. Myotome L5: great toe extension
1. Myotome S1: ankle plantar flexion
11. Hip Sagittal Plane ROM: 30 (extension) - 0 - 120 (flexion)
